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11731

The Role of Diffusion-Weighted MRI in the Characterization of Musculoskeletal Soft Tissue Tumors

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Last updated: 24 Dec 2024

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Abstract

 Background:  magnetic resonance imaging (MRI) has an important role in characterization of soft tissue tumors, yet, it lacks specificity for differentiation between the benign and malignant lesions. Aim of the Work: this study aimed to evaluate the ability of DW MRI in detection and characterization of the musculoskeletal soft tissue tumors. Patients and methods: this prospective study included 30 patients (20 females and 10 males) referred to MRI unit Ain shams University Hospital for MRI evaluation of musculoskeletal soft tissue tumors. Results: from 30 cases, 12 cases were benign (40%), 18 cases malignant (60%). From 12 cases of the benign, 8 cases were ≤ 40 years and 4 cases were > 40. From 18 cases of the malignant, 7 cases were ≤ 40 and 11 cases > 40. Ranging of ADC value of benign tumors (1.72-2.58); mean ADC (2.21  ´ 10-3 mm2/sec). Ranging of ADC value of malignant tumors was 0.52-1.82. Mean ADC value was 0.90 ´ 10-3 mm2/sec. Cut-off ADC value ≤ 1.14 less than 1.14 was benign and more than 1.14 was malignant; sensitivity 94.4% and specificity 91.7%. Conclusion: DWI with ADC mapping and measurement of ADC value proved to be a valuable non –invasive tool in differentiating between benign and malignant musculoskeletal soft tissue tumors. Recommendations: a larger population for future studies is needed. Thus, histopathologic work up is required for reliable characterization of soft tissue tumors (4).  

DOI

10.12816/0040619

Keywords

Diffusion-weighted MRI, musculoskeletal, soft issue, Tumor

Authors

First Name

Mohamed A.

Last Name

Nassif

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Affiliation

Department of Radio-diagnosis, Faculty of Medicine, Ain Shams University

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First Name

Susan A.

Last Name

Abdul Rahim

MiddleName

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Affiliation

Department of Radio-diagnosis, Faculty of Medicine, Ain Shams University

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City

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Orcid

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First Name

Rana Z.

Last Name

Hussien

MiddleName

-

Affiliation

Department of Radio-diagnosis, Faculty of Medicine, Ain Shams University

Email

ranazahim2010@gmail.com

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-

Orcid

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Volume

69

Article Issue

2

Related Issue

2165

Issue Date

2017-10-01

Receive Date

2018-08-28

Publish Date

2017-10-01

Page Start

1,895

Page End

1,900

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_11731.html

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https://ejhm.journals.ekb.eg/service?article_code=11731

Order

18

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

The Role of Diffusion-Weighted MRI in the Characterization of Musculoskeletal Soft Tissue Tumors

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Article

Created At

22 Jan 2023